Individual provider Active NPI

Taylor R Riviere, PT, OT

  • Physical Therapist
  • Vienna, VA
National Provider Identifier
1306233630
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209380 Issued in VA
Practice address
8206 Leesburg Pike Ste 402
Vienna, VA 22182-2614
Phone
(703) 356-3470
Fax
(703) 356-3473
NPI assigned
Apr 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119006657 VA
Occupational Therapist 225X00000X OT16476 FL
Physical Therapist 225100000X 2305209380 VA Primary

Addresses

Primary practice location

8206 Leesburg Pike Ste 402
Vienna, VA 22182-2614

Mailing address

5252 Lyngate CT
Burke, VA 22015-1672
Phone (703) 239-2300

Other identifiers 1

IdentifierTypeStateIssuer
2307001214OtherVADIRECT ACCESS CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2305209380VAMDPhysical Therapist
OT16476FLMDOccupational Therapist
0119006657VAMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1306233630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 LYNGATE CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151672",
            "telephone_number": "703-239-2300",
            "fax_number": "703-239-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8206 LEESBURG PIKE STE 402",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822614",
            "telephone_number": "703-356-3470",
            "fax_number": "703-356-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVIERE",
        "first_name": "TAYLOR",
        "middle_name": "R",
        "credential": "PT, OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119006657",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16476",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIRECT ACCESS CERTIFICATION",
            "identifier": "2307001214",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.